Physician Credentialing Coordinator

Description

Physician Credentialing Coordinator

This is a full-time (40 hrs/wk), hourly position on UCHealth’s Plan Administrative team based in Lone Tree, CO. Coordinates, monitors and performs the medical staff and payer credentials verification process for initial appointments, temporary privileges, and reappointments of physicians and allied health professionals.

Job Duties

• Collects, reviews and prepares data for final medical staff and allied health professionals credentials review for clinic, hospital and payer environments. Works with providers to obtain any missing information. Processes requests for additions or changes in clinical privileges. 
• Ensures that requisite licenses, malpractice coverage, and certifications are current for all medical staff members and allied health professionals.
• Maintains files on medical and allied health professionals including information related to licensure or clinical practice disciplinary actions, clinical practice restrictions, and medical malpractice suits, judgments and settlements. Provides requested reports as directed. 
• Maintains current knowledge of and compliance with medical staff accreditation standards with applicable regulatory agencies and licensing standards. Participates in the development and implementation of credentialing policies and procedures.

Requirements

• High School Diploma or GED
  

Preferred

• Medical credentialing experience
• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Staff Management (CPMSM) by the National Association Medical Staff Services (NAMSS) or Registered Health Information Administrator (RHIA).
  

• The pay range for this position is: $23.49 - $30.53 / hour. Pay is dependent on applicant's relevant experience.

  UCHealth offers a Five Year Incentive Bonus to recognize employee’s contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UCHealth. The bonus accumulates annually each October and is paid out in October following completion of five years’ employment.

  UCHealth offers their employees a competitive and comprehensive total rewards package:

  • Full medical, dental and vision coverage
  • Retirement plans to include pension plan and 403(b) matching
  • Paid time off. Start your employment at UCHealth with PTO in your bank
  • Employer-paid life and disability insurance with additional buy-up coverage options
  • Tuition and continuing education reimbursement
  • Wellness benefits
  • 5 year incentive bonus
  • Full suite of voluntary benefits such as identity theft protection and pet insurance
  • Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may also qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year

   Loan Repayment: UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.

  At UCHealth, we do things differently

  We believe in something different: a focus on the individuality of every person. In big ways and small, we exist to improve the extraordinary lives of all those we serve. As Colorado’s largest and most innovative health care system, we as a team deliver on the commitment to provide the best possible experience for our patients and their families. We foster a true human connection and give people the freedom to live extraordinary lives. A career at UCHealth is more than a job, it’s a passion.

  Going beyond quality requires the perfect balance of talent, integrity, drive and intellectual curiosity. We are looking for individuals who recognize, like us, that the world of medicine is ever-changing and are motivated to do what is right, not what is easy. We support creativity and curiosity so that each of us can find the extraordinary qualities within ourselves. At UCHealth, we’ll do everything in our power to make sure you grow and have a meaningful career. There’s no limits to your potential here.

  Be Extraordinary. Join Us Today!

  UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an affirmative action/equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual’s race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. UCHealth does not discriminate against any “qualified applicant with a disability” as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.